| NPI | 1124649819 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KAYA COLIN Owner/Therapist 360-450-4405  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| Enumeration Date | 2020-05-04 | 
| Last Update Date | 2022-02-25 |